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Laparoscopic Magenstrasse and Mill Gastroplasty (M&M): Midterm Results

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Abstract

Background

The Magenstrasse and Mill gastroplasty (M&M) is a gastric restrictive procedure without band or stomach resection. Short-term evaluation of the laparoscopic procedure showed low morbidity and satisfactory results on weight loss. Evidence of the validity of the technique in the longer term is scarce.

Methods

Data from patients who underwent M&M procedure from May 2012 to September 2015 were retrospectively reviewed. Preoperative clinical characteristics and data up to 4 years after operation were analyzed.

Results

A total of 132 patients were included in this study with a mean age of 46 ± 13.4 years. The mean body mass index (BMI) at the time of procedure was 43 ± 4.5 kg/m2. Mean percentage of excess weight loss (%EWL) was 67, 67, 58, and 57% at 1, 2, 3, and 4 years, respectively. The remission rate for diabetes was 36%. About half of the insulin-dependent patients could stop their insulin treatment. Hypertension was resolved in 33.8% of the patients after 4 years. Incidence of vitamin and mineral deficiency was low throughout the study period, less than or equal to 3% for vitamin B12 and 1% for ferritin. Incidence of gastroesophageal reflux did not exceed 15% during the study. Over 75% of the patients reported a good or very good quality of life following the surgery.

Conclusion

These results confirm the validity of M&M as a bariatric procedure. The low incidence of vitamin deficiencies and gastroesophageal reflux might be the important asset of M&M over other existing techniques.

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Authors and Affiliations

  1. Department of Abdominal Surgery and Transplantation, Centre Hospitalier Universitaire de Liège, Liège, Belgium

    Maud Neuberg, Pierre-Arnaud Wuidar & Laurent Kohnen

  2. Department of Diabetology, Centre Hospitalier Universitaire de Liège, Liège, Belgium

    Jenny Deflines

  3. Department of Abdominal And Pediatric Surgery, Centre Hospitalier Régional de la Citadelle, Liège, Belgium

    Nikos Kotzampassakis, Martine Demarche & Arnaud De Roover

Authors
  1. Maud Neuberg
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  2. Pierre-Arnaud Wuidar
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  3. Laurent Kohnen
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  4. Jenny Deflines
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  5. Nikos Kotzampassakis
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  6. Martine Demarche
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  7. Arnaud De Roover
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Correspondence to Maud Neuberg.

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Neuberg, M., Wuidar, PA., Kohnen, L. et al. Laparoscopic Magenstrasse and Mill Gastroplasty (M&M): Midterm Results. OBES SURG 29, 3212–3219 (2019). https://doi.org/10.1007/s11695-019-03965-7

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  • DOI: https://doi.org/10.1007/s11695-019-03965-7

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